sb/hs/rg.
Name of the Patient : Abc Xyz R. Dlmn / M / 55 yrs.
Referred by : Dr. Abc Xyzaubal.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with pain radiating to the LLE with paresthesias.
Alleged H/O fall.
EXAMINATION :
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
OBSERVATION :
There is loss of water content of the lumbar intervertebral discs.
There is a posteriorly herniated disc with peridiscal osteophytes at the L4-L5 level with thecal sac compression, bilateral neural foraminal narrowing and indentation on the traversing L5 nerve roots bilaterally. Hypertrophic facetal arthropathy and ligamentum flavum hypertrophy is noted at this level with a resultant tight lumbar canal.
A small posterior disc herniation with peridiscal osteophytes is noted at the L3-L4 level with slight facetal hypertrophy at this level.
A postero-central protruded disc with peridiscal osteophytes is noted at the L2-L3 level with slight facetal hypertrophy at this level.
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Bilateral far lateral disc bulges are noted over the L1-L2 to L5-S1 levels. Posterior disc bulges are seen at the L1-L2 and L5-S1 levels.
Type II degenerative marrow changes are noted adjacent to the D12-L1, L1-L2, L2-L3, L3-L4 and L4-L5 intervertebral discs.
A fairly large, Schmorls node is noted along the superior cortical endplate of the L5 vertebral body.
The visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the D12 level and the thecal sac terminates at the S2 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
16.0 mm at L1-L2
14.0 mm at L2-L3
13.0 mm at L3-L4
12.0 mm at L4-L5
12.0 mm at L5-S1.
IMPRESSION :
1. A posteriorly herniated disc with peridiscal osteophytes at the L4-L5 level indenting the traversing L5 nerve roots bilaterally. Hypertrophic facetal arthropathy and ligamentum flavum hypertrophy is noted at this level with a resultant tight lumbar canal.
2. A small posterior disc herniation with peridiscal osteophytes at the L3-L4 level with slight facetal hypertrophy at this level.
3. A postero-central protruded disc with peridiscal osteophytes at the L2-L3 level with slight facetal hypertrophy at this level.